1978, 05-03 Permit App: M6169 ResidenceP-107
111111 4111.
1283 -Rancher
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 /
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ..._ ?iCi°
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Larry Peplinski Builder, IncAddress P. n_ Flew 1441n Phone 978-hO9O
Architect Address Spokar , Washington 99214 Phone
Engineer Address Phone
Contractor tarry Pep] i ns k i Address Sam,. Phone Sanie
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Rg1AT R/W WIDTH 60'
R PTION OF WORK: New XX Addition Remodel Moving
Size of Lot 120 x 140 Sewage System
Lot 1, Block 3 Peplinski's Frist Addition rT1t) �7e�al-ec
County of Spokane State of Washington
Bldg. Zone Fire Zone 3
S.T.onst. Frame
(FkFireplrace 2
., Conc., Br., etc.)
Bric
Total Sq. Ft 1789 valuation 48,750
Chimney
(Kind) (Number
Wood Int. Wall Finish Drywall
No. of Units. - Bedrooms 3
1
Stories Dimensions
42ix28 + 6x9 + 8x5 + Att.Gar. 22x23
Rooms 6 Baths2 Basement Full Foundation Const
(Full, part, none)
Heat. System F.A. E . Type of Roofing Cnmp Ext. Finish
Use of Bldg. Res idence - Double Attached Garage
Concrete
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
NORTH
SEE ATTACHED
SOUTH
I hereby certify information submitted is correct and
as shown. LARRY PEPLINSKI BUILDER, INC.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE,
THIS IS NOT A PERMIT.
Your street address will be North
Sewage Permit Number Issued Building Permit
Remarks
State License No.
233-01-18973
Ind. Ins. Acct. No.
-2 -000
RESIDENTIAIA COMMERCIAL
REQUIRED
Plumbing Permit L & L
Heating Permit A R M
Sewage Permit Walker
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
5/q/28
structures located on this property except
May 3,
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Lillian Rd.
G,Af The zone is Single Family
Receipt /T Issued
Lnr,,. 491 pI.l..
1978
3 Qa, (s_kle)J
Spokane Trusses &Wholesale Lumber, Inc.
10410 EAST JACKSON • SPOKANE, WASHINGTON 99206 • (6091 924-2420
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